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中国生物工程杂志

China Biotechnology
China Biotechnology  2023, Vol. 43 Issue (12): 128-133    DOI: 10.13523/j.cb.2310053
    
Clinical Significance of Absolute Count of Peripheral Blood Immune Cells in Children with Immune Thrombocytopenia
YANG Zhi-hong1,*(),ZHANG Ya-qi2,BAI Yong-ze1,SHI Zhi-yun1,PAN Lin1,CHEN Ping1
1 Center of Medical Laboratory, The General Hospital of Ningxia Medical University, Yinchuan 750004, China
2 The First Clinical Medical School of Ningxia Medical University, Yinchuan 750004, China
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Abstract  

Objective: To investigate the changes and clinical significance of the absolute count of peripheral blood immune cells in children with immune thrombocytopenia (ITP). Methods: A total of 41 newly diagnosed ITP children admitted to the Department of Pediatrics, General Hospital of Ningxia Medical University from January 2022 to August 2023 were selected as the case group, while 30 healthy children were selected as the control group. Flow cytometry was used to detect and compare the absolute count and percentage levels of CD3+, CD3+CD4+, CD3+CD8+T cells, CD3-CD19+B cells and CD3-CD16+CD56+NK cells, as well as the CD4+/CD8+ratio in peripheral blood between the two groups. Results: The absolute count levels of CD3+ and CD3+CD4+T cells, as well as the absolute count and percentage levels of CD3-CD19+B cells in the case group were significantly increased compared to the control group (P<0.05). The percentage of CD3-CD16+CD56+NK cells significantly decreased (P<0.05). There was no statistically significant difference between two groups in the absolute count of CD8+T cells,the percentage of CD3+,CD4+,CD8+T cells, the ratio of CD4+/CD8+ and the absolute count of CD3-CD16+CD56+NK cells (P>0.05). Conclusions: There is a disorder in the immune cells of peripheral blood in children with ITP. The absolute count level can objectively and truly reflect the changes of immune cells in children with ITP. Judging abnormal changes in immune cell levels should be based on the absolute count level to analyze the percentage level changes, so as to provide better assistance for clinical disease diagnosis and treatment.



Key wordsImmune thrombocytopenia      Lymphocyte subpopulations      Absolute counting      Immune cells     
Received: 16 October 2023      Published: 16 January 2024
ZTFLH:  Q352  
Cite this article:

Zhi-hong YANG, Ya-qi ZHANG, Yong-ze BAI, Zhi-yun SHI, Lin PAN, Ping CHEN. Clinical Significance of Absolute Count of Peripheral Blood Immune Cells in Children with Immune Thrombocytopenia. China Biotechnology, 2023, 43(12): 128-133.

URL:

https://manu60.magtech.com.cn/biotech/10.13523/j.cb.2310053     OR     https://manu60.magtech.com.cn/biotech/Y2023/V43/I12/128

组别 例数 CD3+T细胞 CD3+CD4+T细胞 CD3+CD8+T细胞 CD4+/CD8+
百分比/% 绝对计数/(个/μL) 百分比/% 绝对计数/(个/μL) 百分比/% 绝对计数/(个/μL)
病例组 41 66.28±9.68 2497.74±1488.28* 36.14±7.03 1317.05±658.07* 24.84±7.61 994.22±872.86 1.59±0.58
对照组 30 69.05±5.66 1919.18±377.52 36.86±5.59 1018.35±212.47 25.49±5.08 711.16±204.22 1.52±0.44
t -1.399 2.386 -0.465 2.719 -0.406 2.003 0.587
P 0.166 0.021 0.644 0.009 0.686 0.051 0.559
Table 1 The percentage and absolute count levels of peripheral blood CD3+T, CD4+T, CD8+T cells in the case group and the control group( x -±s)
组别 例数 CD3-CD19+B细胞
百分比/% 绝对计数/(个/μL)
病例组 41 22.75±9.13* 866.27±549.86*
对照组 30 18.29±4.53 509.25±169.92
t 2.707 3.910
P 0.009 0.000
Table 2 Percentage and absolute count levels of CD3-CD19+B cells in peripheral blood of patients in the case group and control group( x -±s)
组别 例数 CD3-CD16+CD56+NK细胞
百分比/% 绝对计数/(个/μL)
病例组 41 8.90±4.58* 344.27±266.59
对照组 30 11.32±3.78 317.30±125.93
t -2.364 0.567
P 0.021 0.573
Table 3 Percentage and absolute count levels of CD3-CD16+CD56+NK cells in peripheral blood of patients in the case group and control group( x -±s)
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